US20100204640A1 - Medical device, in particular for electroporation treatment - Google Patents
Medical device, in particular for electroporation treatment Download PDFInfo
- Publication number
- US20100204640A1 US20100204640A1 US12/671,410 US67141010A US2010204640A1 US 20100204640 A1 US20100204640 A1 US 20100204640A1 US 67141010 A US67141010 A US 67141010A US 2010204640 A1 US2010204640 A1 US 2010204640A1
- Authority
- US
- United States
- Prior art keywords
- main body
- projecting member
- operator
- axis
- needles
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000004520 electroporation Methods 0.000 title claims abstract description 12
- 230000001225 therapeutic effect Effects 0.000 claims abstract description 4
- 230000005540 biological transmission Effects 0.000 claims description 2
- 230000003287 optical effect Effects 0.000 claims description 2
- 239000002861 polymer material Substances 0.000 claims description 2
- 206010028980 Neoplasm Diseases 0.000 description 5
- 229940079593 drug Drugs 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 206010027476 Metastases Diseases 0.000 description 2
- 206010029098 Neoplasm skin Diseases 0.000 description 2
- 210000004027 cell Anatomy 0.000 description 2
- 210000000170 cell membrane Anatomy 0.000 description 2
- 230000009401 metastasis Effects 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 230000035699 permeability Effects 0.000 description 2
- 206010004146 Basal cell carcinoma Diseases 0.000 description 1
- 108010006654 Bleomycin Proteins 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 229940041181 antineoplastic drug Drugs 0.000 description 1
- 229920000249 biocompatible polymer Polymers 0.000 description 1
- 229960001561 bleomycin Drugs 0.000 description 1
- OYVAGSVQBOHSSS-UAPAGMARSA-O bleomycin A2 Chemical compound N([C@H](C(=O)N[C@H](C)[C@@H](O)[C@H](C)C(=O)N[C@@H]([C@H](O)C)C(=O)NCCC=1SC=C(N=1)C=1SC=C(N=1)C(=O)NCCC[S+](C)C)[C@@H](O[C@H]1[C@H]([C@@H](O)[C@H](O)[C@H](CO)O1)O[C@@H]1[C@H]([C@@H](OC(N)=O)[C@H](O)[C@@H](CO)O1)O)C=1N=CNC=1)C(=O)C1=NC([C@H](CC(N)=O)NC[C@H](N)C(N)=O)=NC(N)=C1C OYVAGSVQBOHSSS-UAPAGMARSA-O 0.000 description 1
- DQLATGHUWYMOKM-UHFFFAOYSA-L cisplatin Chemical compound N[Pt](N)(Cl)Cl DQLATGHUWYMOKM-UHFFFAOYSA-L 0.000 description 1
- 229960004316 cisplatin Drugs 0.000 description 1
- 210000000805 cytoplasm Anatomy 0.000 description 1
- 230000006735 deficit Effects 0.000 description 1
- 230000005684 electric field Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 201000001441 melanoma Diseases 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000004118 muscle contraction Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 210000003254 palate Anatomy 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 206010041823 squamous cell carcinoma Diseases 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/327—Applying electric currents by contact electrodes alternating or intermittent currents for enhancing the absorption properties of tissue, e.g. by electroporation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00438—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping connectable to a finger
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00747—Dermatology
- A61B2017/00765—Decreasing the barrier function of skin tissue by radiated energy, e.g. using ultrasound, using laser for skin perforation
Abstract
A medical device, in particular for electroporation treatment, characterized by having:
-
- a thimble-like main body fitted, in use, to a hand of an operator; and
- a member connected to the main body and fitted with needles by which the operator performs the therapeutic treatment.
Description
- The present invention relates to a medical device, in particular for electroporation treatment, which is normally a compulsory step in electrochemotherapy treatment in general.
- Herein, “electroporation” is intended to mean a physical phenomenon by which to enhance the permeability of cell membranes by means of short, intense electric pulses.
- As stated, the medical device according to the present invention may be used to particular advantage, though not exclusively, in electrochemotherapy, to which the following description refers purely by way of example.
- As is known, cell penetration of antitumour drugs can be enhanced considerably by means of electric pulses applied using special needles.
- “Electrochemotherapy” is a new technique currently used to locally treat and control cutaneous or subcutaneous tumours.
- Electrochemotherapy combines two effects:
-
- administration of small doses of drug (bleomycin or cisplatin); and
- electroporation of cell membranes.
- Increasing permeability allow non- or poorly permeating drugs or other molecules to penetrate the cytoplasm of cancerous cells to achieve greater effectiveness.
- Electrochemotherapy is indicated for primary skin tumours (basal and squamous cell carcinomas), single or in-transit metastasis of melanomas, and cutaneous metastasis of other tumours, regardless of histology.
- The latest technology as applied to electrochemotherapy gives particularly good results using electric pulses of 1 Hz or 5 kHz frequency, which reduces the number of muscle contractions induced by electric stimulus, and improves patient treatment tolerance. Moreover, repetition of high-frequency pulses reduces treatment time.
- Electric pulses of over 1000 V have also been found to give excellent results in terms of drug absorption.
- Patient tolerance is also improved for the following reasons:
-
- minimum side effects, so the treatment can be repeated;
- no functional organ impairment and no effect on surrounding healthy tissue;
- immediate recovery.
- “Electroporation” is normally induced using electrodes connected electrically to equipment for generating pulses of the above frequencies and voltages.
- Various types of electrodes have been designed to treat different skin areas, by precise distribution of the applied electric field.
- The types of electrodes currently used are:
-
- a plate electrode for surface tumours;
- an electrode with parallel rows of needles for small, deep-seated tumours;
- an electrode with hexagonally arranged needles for large, deep-seated tumours.
- The electrodes are fixed to the distal end of rigid, oblong handsets gripped, in use, by the operator.
- Currently used rigid handsets are excellent for treating easily accessible skin tumours, but pose serious problems, substantially on account of their rigid structure, when treating less accessible parts of the body, such as the tongue, palate, gums, the first part of the respiratory system, and accessible cavities.
- It is therefore an object of the present invention to provide an alternative to rigid handsets, for use in electroporation treatment. The teachings of the present invention, however, also apply, with obvious variations within the scope of any average technician, to other fields, such as internal microcamera examination of the human body.
- A microcamera may also be applied to an electroporation device to permit real-time monitoring of the treatment in progress.
- The starting point of the present invention was the realization that an operator's finger, in particular the index finger of the right hand (assuming, of course, the operator is right-handed) represents an exceptional natural “handset”, which is versatile, articulated, and sensitive enough for applications necessarily requiring a non-rigid instrument with five degrees of freedom.
- An inventive “thimble” was therefore devised, equipped with active means (e.g. needle electrodes), and designed to fit onto the end (tip) phalanx of the operator's finger.
- An extremely versatile “tool”, comprising the operator's finger and the equipped thimble, is thus obtained, which is able to operate successfully in even the most inaccessible and hidden parts of the patient's body that are difficult, if not impossible, to operate on using conventional handsets.
- It is therefore an object of the present invention to provide a medical device designed to eliminate the aforementioned drawbacks, and which, at the same time, is cheap and easy to produce.
- According to the present invention, there is provided a medical device as claimed in the accompanying Claims.
- A non-limiting embodiment of the present invention will be described by way of example with reference to the accompanying drawings, in which:
-
FIG. 1 shows a medical device, in accordance with the present invention, fitted to an operator's hand; -
FIG. 2 shows a first view in perspective of a first embodiment of a medical device in accordance with the present invention; -
FIG. 3 shows a second view in perspective of the first embodiment inFIG. 2 ; -
FIG. 4 shows a view in perspective of a second embodiment of a medical device in accordance with the present invention; -
FIG. 5 shows a longitudinal section of the second embodiment inFIG. 4 ; -
FIG. 6 shows a view in perspective of a third embodiment of a medical device in accordance with the present invention; -
FIG. 7 shows a first exploded view of the medical device inFIG. 6 ; -
FIG. 8 shows a second exploded view of the medical device inFIG. 6 ; -
FIG. 9 shows one practical application of the medical device inFIGS. 6 , 7, 8. -
Number 10 inFIGS. 1 , 2 and 3 indicates as a whole a first embodiment of a medical device in accordance with the present invention. -
Medical device 10 comprises a thimble-likemain body 11, which is fitted, in use, to a gloved hand HD of an operator OP (not shown). More specifically, in use,main body 11 is worn by the operator OP on the distal (tip) phalanx FL of a finger FNG. - Obviously, if the operator is right-handed, finger FNG is preferably, though not necessarily, the index finger of the right hand.
-
Medical device 10 also comprises a projecting member 12 (FIGS. 2 , 3) projecting frommain body 11 and fitted withactive means 13 for performing a given therapeutic treatment. In the example shown inFIGS. 1 , 2 and 3, active means 13 in turn comprise a number ofneedles 14 for electroporation treatment. - In the first embodiment of the present invention shown in
FIGS. 1 , 2 and 3,needles 14 are substantially parallel to an axis (X) of substantial longitudinal symmetry ofmain body 11. -
Projecting member 12 may be either formed in one piece with or glued tomain body 11. -
Projecting member 12 may also be fitted tomain body 11 by a joint. - In an embodiment not shown in the attached drawings, projecting
member 12 is hinged tomain body 11 to permit angular adjustment of projectingmember 12 with respect tomain body 11; in which case, fastening means, comprising, for example, a screw, are also provided to lock projectingmember 12 in a given angular position with respect tomain body 11 to perform a given medical operation. - Both the main body and projecting
member 12 are preferably, though not necessarily, made of strong, biocompatible polymer material suitable for manufacturing medical devices. - In another embodiment not shown,
main body 11 has means for adjusting its diameter D to adaptmain body 11 to the size of the operator's finger. More specifically, in one particularly straightforward solution,main body 11 has at least one through cut dividing it into two, so that diameter D ofmain body 11 adapts to the diameter of the operator's finger by virtue of the elasticity of the plastic material. - Both
main body 11 and projectingmember 12 have at least one duct DT for housing the power wires and/or cables ofactive means 13. More specifically, if active means 13 compriseelectroporation needles 14, duct DT houses an electric power cable CBL (FIG. 3 ). In another embodiment not shown, if active means 13 comprise a microcamera, duct DT houses optical fibres (not shown) for light and/or image transmission. - A thread (not shown) may be attached to
main body 11 to recoverdevice 10 in the event ofmain body 11 slipping accidentally off the finger FNG of the operator OP. - Though projecting
member 12 projecting frommain body 11 is useful, in an embodiment not shown, active means 13 are fitted directly tomain body 11. -
FIGS. 4 and 4 show a second embodiment of the present invention. - In this embodiment, a
medical device 100 comprises a thimble-likemain body 101 attached to a projectingmember 102 fitted withactive means 113 by which the operator OP performs a given therapeutic treatment. - In this case, the
needles 114 definingactive means 113 are parallel to an axis (Y) perpendicular to an axis (X) of substantial longitudinal symmetry ofmain body 101. - All the features described in connection with the
FIG. 1 , 2, 3 embodiment also apply tomedical device 100 inFIGS. 4 and 5 . - In an embodiment not shown, a first number of needles are parallel to axis (X), and a second number of needles are perpendicular to axis (X).
-
FIGS. 6 , 7, 8, 9 show a third embodiment of the present invention. - In this, as in the other embodiments described, a
medical device 1000 comprises a thimble-likemain body 1001, and a projectingmember 1002 projecting frommain body 1001. And projectingmember 1002 is fitted withactive means 1013 comprisingneedles 1014 parallel to an axis (X) of substantial longitudinal symmetry ofmain body 1001. - In other words, in this embodiment, the spatial arrangement of main:
body 1001, projectingmember 1002, and needles 1014 is the same as in the first embodiment inFIGS. 1 , 2 and 3. - As shown in
FIGS. 6 , 7, 8 and 9,device 1000 also comprises aslide 1015 having acentral member 1016 substantially parallel to axis (X) and to which are attached twoskids 1017 on opposite sides of axis (X).Slide 1015 also comprises aabutment member 1018 substantially perpendicular to axis (X) and having a number ofholes 1020 aligned withneedles 1014 projecting from projectingmember 1002. - In actual use, each
skid 1017 engages arespective guide 1021 formed in main body 1001 (FIG. 8 ). Both guides 1021 are parallel to axis (X), and allowslide 1015 to slide with respect tomain body 1001, projectingmember 1002, and needles 1014, in the direction of arrow AW (FIG. 9 ). Moreover, forslide 1015 to slide smoothly, the inner surface SP1 ofslide 1015 has substantially the same curvature as the outer surface SP2 ofmain body 1001 and projectingmember 1002. - In actual use, as shown in
FIG. 9 , when treating an area ZN of particularly soft tissue, the area ZN is inserted between the tips ofneedles 1014 and an inner surface SP3 ofabutment member 1018, which thus acts as an abutment surface for area ZN to assist penetration of area ZN by the tips ofneedles 1014. -
Slide 1015 may obviously be slid ontomain body 1001 either manually by the operator OP or by other means not shown. - All the additional features described in connection with the
FIG. 1 , 2, 3 embodiment and theFIG. 4 , 5 embodiment also apply tomedical device 1000 inFIGS. 6 , 7, 8 and 9. - The main advantage of the medical device described lies in it being extremely versatile, and being able to operate successfully in even the most inaccessible and hidden parts of the patient's body that are difficult, if not impossible, to operate on using conventional rigid handsets.
Claims (26)
1. A medical device comprising:
a main body fitted, in use, to a hand of an operator; and
active means attached to said main body, and by which the operator performs a given therapeutic treatment.
2. A device as claimed in claim 1 , wherein said main body is substantially thimble-like, and is worn by the operator on the distal end (tip phalanx) of a finger.
3. A device as claimed in claim 1 , characterized by also comprising a projecting member attached to said main body; said active means attached to said projecting member.
4. A device as claimed in claim 1 , wherein said active means in turn comprise a number of needles for electroporation treatment.
5. A device as claimed in claim 4 , wherein said needles are substantially parallel to an axis (X) of substantial longitudinal symmetry of said main body.
6. A device as claimed in claim 4 , wherein said needles are substantially parallel to an axis (Y) perpendicular to an axis (X) of substantial longitudinal symmetry of the main body.
7. A device as claimed in claim 5 , wherein at least one needle is substantially parallel to an axis (X) of substantial longitudinal symmetry of said main body, and at least one needle is substantially parallel to an axis (Y) perpendicular to axis (X).
8. A device as claimed in claim 3 , wherein said projecting member is formed in one piece with the main body.
9. A device as claimed in claim 3 , wherein said projecting member is glued to said main body.
10. A device as claimed in claim 3 , wherein said projecting member is connected by a joint to said main body.
11. A device as claimed in claim 3 , wherein said projecting member is hinged to the main body to permit angular adjustment of the projecting member with respect to the main body.
12. A device as claimed in claim 11 , characterized by also comprising fastening means for locking projecting member in a given angular position with respect to main body.
13. A device as claimed in claim 3 , wherein both main body and projecting member are made of strong polymer material.
14. A device as claimed in claim 1 , wherein main body has means for adjusting its diameter to adapt main body to the size of the operator's finger.
15. A device as claimed in claim 14 , wherein main body has at least one through cut dividing main body into two.
16. A device as claimed in claim 3 , wherein main body and projecting member have at least one duct for housing power wires and/or cables of active means.
17. A device as claimed in claim 1 , wherein said active means comprise a microcamera.
18. A device as claimed in claim 16 , wherein duct houses optical fibres for light and/or image transmission.
19. A device as claimed in claim 5 , characterized by also comprising a slide having a central member to which are attached two skids; the slide also comprising an abutment member.
20. A device as claimed in claim 19 , wherein, in use, each skid engages a respective guide formed in main body; two guides permitting translation of slide with respect to main body.
21. A device as claimed in claim 20 , wherein the inner surface of slide has substantially the same curvature as the outer surface of main body.
22. A device as claimed in claim 19 , wherein said abutment member comprises a number of holes aligned with needles.
23. A device as claimed in claim 1 , wherein main body is attached to a thread to recover the device in the event of main body slipping accidentally off the finger of the operator.
24. Medical use of a device as claimed in claim 1 .
25. Use, for electroporation treatment, of a device as claimed in claim 1 .
26. Use, for electrochemotherapy treatment, of a device as claimed in claim 1 .
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/IT2007/000545 WO2009016662A1 (en) | 2007-07-30 | 2007-07-30 | Medical device, in particular for electroporation treatment |
Publications (2)
Publication Number | Publication Date |
---|---|
US20100204640A1 true US20100204640A1 (en) | 2010-08-12 |
US8560088B2 US8560088B2 (en) | 2013-10-15 |
Family
ID=38830366
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/671,410 Active 2029-01-04 US8560088B2 (en) | 2007-07-30 | 2007-07-30 | Medical device, in particular for electroporation treatment |
Country Status (4)
Country | Link |
---|---|
US (1) | US8560088B2 (en) |
EP (1) | EP2175926B1 (en) |
CN (1) | CN101820944A (en) |
WO (1) | WO2009016662A1 (en) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20120123410A1 (en) * | 2010-11-16 | 2012-05-17 | Tyco Healthcare Group Lp | Fingertip Electrosurgical Instruments for Use in Hand-Assisted Surgery and Systems Including Same |
US9457183B2 (en) | 2011-06-15 | 2016-10-04 | Tripep Ab | Injection needle and device |
US20160302809A1 (en) * | 2015-04-19 | 2016-10-20 | Bam Medical Ltd. | Frenulum spreader |
US11624050B2 (en) * | 2019-08-21 | 2023-04-11 | Board Of Regents, The University Of Texas System | Microneedle array electroporation system for cell transfection |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103705298B (en) * | 2013-12-25 | 2016-04-13 | 高嘉锴 | Intramedullary nail finger-type guider |
IT202000031379A1 (en) | 2020-12-18 | 2022-06-18 | Curaleaf International Ltd | TOPICAL PHARMACEUTICAL FORMULATION AND METHOD FOR THE TREATMENT OF SYNDROMES ASSOCIATED WITH CHRONIC PELVIC PAIN |
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US5925064A (en) * | 1996-07-01 | 1999-07-20 | University Of Massachusetts | Fingertip-mounted minimally invasive surgical instruments and methods of use |
US6208893B1 (en) * | 1998-01-27 | 2001-03-27 | Genetronics, Inc. | Electroporation apparatus with connective electrode template |
US20020065480A1 (en) * | 1997-08-01 | 2002-05-30 | Hofmann Gunter A. | Apparatus for electroporation mediated delivery for drugs and genes |
US6477410B1 (en) * | 2000-05-31 | 2002-11-05 | Biophoretic Therapeutic Systems, Llc | Electrokinetic delivery of medicaments |
US20040193211A1 (en) * | 2003-02-14 | 2004-09-30 | Voegele James W. | Fingertip surgical instruments |
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GB2320423A (en) * | 1996-12-21 | 1998-06-24 | Lise Andreassen | Toothbrushes |
CN1255870A (en) | 1998-01-27 | 2000-06-07 | 基因特伦尼克斯公司 | Electroporation appts. with connective electrode template |
CN1750790A (en) | 2003-02-14 | 2006-03-22 | 伊西康内外科公司 | Fingertip surgical instruments |
-
2007
- 2007-07-30 WO PCT/IT2007/000545 patent/WO2009016662A1/en active Application Filing
- 2007-07-30 US US12/671,410 patent/US8560088B2/en active Active
- 2007-07-30 CN CN200780100816A patent/CN101820944A/en active Pending
- 2007-07-30 EP EP07827623.5A patent/EP2175926B1/en active Active
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
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US279524A (en) * | 1883-06-19 | Thimble | ||
US5079629A (en) * | 1991-02-08 | 1992-01-07 | Dan Oz | Optical viewing device and system including same |
US5925064A (en) * | 1996-07-01 | 1999-07-20 | University Of Massachusetts | Fingertip-mounted minimally invasive surgical instruments and methods of use |
US20020065480A1 (en) * | 1997-08-01 | 2002-05-30 | Hofmann Gunter A. | Apparatus for electroporation mediated delivery for drugs and genes |
US6208893B1 (en) * | 1998-01-27 | 2001-03-27 | Genetronics, Inc. | Electroporation apparatus with connective electrode template |
US6477410B1 (en) * | 2000-05-31 | 2002-11-05 | Biophoretic Therapeutic Systems, Llc | Electrokinetic delivery of medicaments |
US20040193211A1 (en) * | 2003-02-14 | 2004-09-30 | Voegele James W. | Fingertip surgical instruments |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20120123410A1 (en) * | 2010-11-16 | 2012-05-17 | Tyco Healthcare Group Lp | Fingertip Electrosurgical Instruments for Use in Hand-Assisted Surgery and Systems Including Same |
US9028484B2 (en) * | 2010-11-16 | 2015-05-12 | Covidien Lp | Fingertip electrosurgical instruments for use in hand-assisted surgery and systems including same |
US9457183B2 (en) | 2011-06-15 | 2016-10-04 | Tripep Ab | Injection needle and device |
US20160302809A1 (en) * | 2015-04-19 | 2016-10-20 | Bam Medical Ltd. | Frenulum spreader |
US10524813B2 (en) * | 2015-04-19 | 2020-01-07 | Bam Medical Ltd. | Frenulum spreader |
US11642146B2 (en) | 2015-04-19 | 2023-05-09 | Bam Medical Ltd. | Frenulum spreader |
US11624050B2 (en) * | 2019-08-21 | 2023-04-11 | Board Of Regents, The University Of Texas System | Microneedle array electroporation system for cell transfection |
Also Published As
Publication number | Publication date |
---|---|
CN101820944A (en) | 2010-09-01 |
US8560088B2 (en) | 2013-10-15 |
EP2175926A1 (en) | 2010-04-21 |
EP2175926B1 (en) | 2015-05-13 |
WO2009016662A1 (en) | 2009-02-05 |
WO2009016662A8 (en) | 2009-05-28 |
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